ATI RN NURSING CARE OF CHILDREN EXAM
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse is assessing a 4-month-old infant. Which finding should the
nurse report to the provider?
A. Posterior fontanel closed
B. Moro reflex present
C. Head circumference larger than chest circumference
D. Birth weight has doubled
Answer: B. Moro reflex present
Rationale: The Moro reflex normally disappears by about 4–6 months.
Persistence beyond this period can indicate a neurologic abnormality
and requires further evaluation.
2. A nurse is providing anticipatory guidance to the parent of a 6-
month-old infant. Which statement should the nurse include?
A. "Give your infant whole cow's milk as the primary beverage."
B. "Place your infant on the stomach to sleep."
C. "Introduce appropriate solid foods while continuing breast milk or
formula."
D. "Use honey to sweeten the infant's foods."
,Answer: C. "Introduce appropriate solid foods while continuing breast
milk or formula."
Rationale: Complementary foods can generally be introduced around
6 months while breast milk or iron-fortified formula remains an
important source of nutrition. Honey should be avoided before 12
months because of botulism risk.
3. A nurse is assessing a toddler. Which behavior is most characteristic
of this developmental stage?
A. Developing a sense of identity
B. Seeking autonomy
C. Developing abstract reasoning
D. Establishing intimate relationships
Answer: B. Seeking autonomy
Rationale: Toddlers are developing autonomy and commonly
demonstrate independence through behaviors such as saying "no,"
choosing foods, and attempting tasks independently.
4. A nurse is preparing to administer an intramuscular injection to a 2-
year-old child. Which site is appropriate?
A. Dorsogluteal muscle
B. Deltoid muscle
C. Vastus lateralis muscle
D. Abdomen
Answer: C. Vastus lateralis muscle
,Rationale: The vastus lateralis is a preferred IM injection site for
infants and young children because it is well developed and avoids
major nerves and blood vessels.
5. A nurse is caring for a child who has suspected epiglottitis. Which
action should the nurse take?
A. Inspect the throat with a tongue depressor.
B. Obtain a throat culture immediately.
C. Keep the child calm and prepare for airway management.
D. Place the child supine.
Answer: C. Keep the child calm and prepare for airway management.
Rationale: Epiglottitis can cause sudden, life-threatening airway
obstruction. The nurse should avoid upsetting the child or
manipulating the throat and should prepare for emergency airway
management.
6. A child has croup and is experiencing inspiratory stridor at rest.
Which intervention is the priority?
A. Encourage vigorous coughing.
B. Maintain the child's airway and administer humidified oxygen as
prescribed.
C. Place the child flat in bed.
D. Give oral fluids immediately.
Answer: B. Maintain the child's airway and administer humidified
oxygen as prescribed.
Rationale: Stridor at rest indicates significant upper-airway
obstruction. Airway maintenance and oxygenation are priorities.
, 7. A nurse is assessing a child with dehydration. Which finding is most
concerning?
A. Dry lips
B. Decreased urine output
C. Tachycardia
D. Hypotension
Answer: D. Hypotension
Rationale: Hypotension is a late and serious sign of dehydration in
children and can indicate progression to hypovolemic shock.
8. A nurse is teaching a parent how to administer oral rehydration
solution to a child with diarrhea. Which instruction is appropriate?
A. Give large amounts rapidly.
B. Give small, frequent amounts.
C. Use only plain water.
D. Withhold all fluids for 12 hr.
Answer: B. Give small, frequent amounts.
Rationale: Small, frequent amounts of oral rehydration solution
improve tolerance and help replace both fluids and electrolytes.
9. A nurse is caring for a child with tetralogy of Fallot who develops a
hypercyanotic spell. Which position should the nurse use?
A. Supine
B. Trendelenburg
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse is assessing a 4-month-old infant. Which finding should the
nurse report to the provider?
A. Posterior fontanel closed
B. Moro reflex present
C. Head circumference larger than chest circumference
D. Birth weight has doubled
Answer: B. Moro reflex present
Rationale: The Moro reflex normally disappears by about 4–6 months.
Persistence beyond this period can indicate a neurologic abnormality
and requires further evaluation.
2. A nurse is providing anticipatory guidance to the parent of a 6-
month-old infant. Which statement should the nurse include?
A. "Give your infant whole cow's milk as the primary beverage."
B. "Place your infant on the stomach to sleep."
C. "Introduce appropriate solid foods while continuing breast milk or
formula."
D. "Use honey to sweeten the infant's foods."
,Answer: C. "Introduce appropriate solid foods while continuing breast
milk or formula."
Rationale: Complementary foods can generally be introduced around
6 months while breast milk or iron-fortified formula remains an
important source of nutrition. Honey should be avoided before 12
months because of botulism risk.
3. A nurse is assessing a toddler. Which behavior is most characteristic
of this developmental stage?
A. Developing a sense of identity
B. Seeking autonomy
C. Developing abstract reasoning
D. Establishing intimate relationships
Answer: B. Seeking autonomy
Rationale: Toddlers are developing autonomy and commonly
demonstrate independence through behaviors such as saying "no,"
choosing foods, and attempting tasks independently.
4. A nurse is preparing to administer an intramuscular injection to a 2-
year-old child. Which site is appropriate?
A. Dorsogluteal muscle
B. Deltoid muscle
C. Vastus lateralis muscle
D. Abdomen
Answer: C. Vastus lateralis muscle
,Rationale: The vastus lateralis is a preferred IM injection site for
infants and young children because it is well developed and avoids
major nerves and blood vessels.
5. A nurse is caring for a child who has suspected epiglottitis. Which
action should the nurse take?
A. Inspect the throat with a tongue depressor.
B. Obtain a throat culture immediately.
C. Keep the child calm and prepare for airway management.
D. Place the child supine.
Answer: C. Keep the child calm and prepare for airway management.
Rationale: Epiglottitis can cause sudden, life-threatening airway
obstruction. The nurse should avoid upsetting the child or
manipulating the throat and should prepare for emergency airway
management.
6. A child has croup and is experiencing inspiratory stridor at rest.
Which intervention is the priority?
A. Encourage vigorous coughing.
B. Maintain the child's airway and administer humidified oxygen as
prescribed.
C. Place the child flat in bed.
D. Give oral fluids immediately.
Answer: B. Maintain the child's airway and administer humidified
oxygen as prescribed.
Rationale: Stridor at rest indicates significant upper-airway
obstruction. Airway maintenance and oxygenation are priorities.
, 7. A nurse is assessing a child with dehydration. Which finding is most
concerning?
A. Dry lips
B. Decreased urine output
C. Tachycardia
D. Hypotension
Answer: D. Hypotension
Rationale: Hypotension is a late and serious sign of dehydration in
children and can indicate progression to hypovolemic shock.
8. A nurse is teaching a parent how to administer oral rehydration
solution to a child with diarrhea. Which instruction is appropriate?
A. Give large amounts rapidly.
B. Give small, frequent amounts.
C. Use only plain water.
D. Withhold all fluids for 12 hr.
Answer: B. Give small, frequent amounts.
Rationale: Small, frequent amounts of oral rehydration solution
improve tolerance and help replace both fluids and electrolytes.
9. A nurse is caring for a child with tetralogy of Fallot who develops a
hypercyanotic spell. Which position should the nurse use?
A. Supine
B. Trendelenburg
